Individual provider Active NPI

Shamsi Rahman, M.D

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1154705176
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
296190 Issued in NY
Practice address
16641 88TH Ave FL 1
Jamaica, NY 11432-4246
Phone
(718) 307-5796
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 296190 NY Primary

Addresses

Primary practice location

16641 88TH Ave FL 1
Jamaica, NY 11432-4246

Mailing address

16811 84TH Ave
Jamaica, NY 11432-1908
Phone (718) 877-5934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191129000007 NY Practitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 5890128151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Physical Medicine and Rehabilitation
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basith Medical Care PLLCGroup PAC ID 1456600808, 2 clinicians

Practice addresses (Care Compare)

4037 74TH St
FL 1
Elmhurst, NY 11373-5603
Phone (917) 780-4510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Basith Medical Care PLLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients

Locations

4037 74th St
#1
Elmhurst, NY 11373
Phone (917) 780-4510

4037 74th St
Flushing, NY 11373
Phone (347) 642-9802

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1154705176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16811 84TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321908",
            "telephone_number": "718-877-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16641 88TH AVE FL 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324246",
            "telephone_number": "718-307-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SHAMSI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "296190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.